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Maryland rates for HCPCS 90680

Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $114.82 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $104.71 / $316.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $114.82 / $123.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72